Can Young Adults Accurately Report Sexual Partnership Dates? Factors Associated With Interpartner and Dyad Agreement.

Can Young Adults Accurately Report Sexual Partnership Dates? Factors Associated With Interpartner and Dyad Agreement.
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DOI:
10.1097/olq.0000000000000428
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发表时间:
2016-05
影响因子:
3.1
通讯作者:
Agnew CR
Agnew CR
中科院分区:
医学4区
文献类型:
--
作者:
Sanchez DM;Schoenbach VJ;Harvey SM;Warren JT;Poole C;Leone PA;Adimora AA;Agnew CR

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性伙伴关系的日期是至关重要的性传播感染/艾滋病毒的研究和控制计划,虽然有效性是有限的不准确的回忆和报告。我们检查了302名异性恋成年人(151个索引伴侣二人组)的数据,以评估报告的可靠性。第一次和最后一次性行为的日期收集通过个人访谈和联合二人问卷,合作伙伴一起完成。我们比较了索引和合作伙伴报告的日期,以估计合作伙伴间的协议(IPA)。我们使用对数线性回归模型之间的合作伙伴之间的差异和伙伴关系的特点。为了评估有效性,我们比较了个人报告的日期,从联合二人问卷。大多数伴侣关系(66.2%)的持续时间≤2年,许多(36.2%)是非一夫一妻制。第一次性行为在1、30和365天内的IPA分别为5.6%、43.1%和81.3%;最后一次性行为为32.9%、94.5%和100.0%。在调整后的模型中:较长的关系持续时间与第一次性行为日期的分歧有关;非一夫一妻制的伙伴关系与第一次和最后一次性行为日期的分歧有关。在二元组内,几个参与者特征与报告日期更接近联合二元组响应相关[例如,第一次性约会中,女性(54.7%),性伴侣较少(58.5%),关系承诺更大(57.3%)。然而,对于第一次和最后一次性行为日期,所有组在30、60和90天内的一致率相似。对最后一次性行为日期的一致性很高,但对第一次性行为日期的一致性中等。提高性行为日期报告准确性的方法可能会改善性传播感染研究。
Sexual partnership dates are critical to STI/HIV research and control programs, though validity is limited by inaccurate recall and reporting. We examined data from 302 heterosexual adults (151 index-partner dyads) to assess reliability of reporting. Dates of first and last sex were collected through individual interviews and joint dyad questionnaires which partners completed together. We compared index- and partner-reported dates to estimate inter-partner agreement (IPA). We used log-linear regression to model associations between inter-partner differences and partnership characteristics. To assess validity, we compared individually-reported dates to those from joint dyad questionnaires. Most partnerships (66.2%) were ≤2 years in duration and many (36.2%) were non-monogamous. IPA to within 1-, 30-, and 365-days was, respectively, 5.6%, 43.1% and 81.3% for first sex; and 32.9%, 94.5%, and 100.0% for last sex. In adjusted models: longer relationship duration was associated with disagreement on first sex dates; partnership non-monogamy was associated with disagreement on dates of first and last sex. Within dyads, several participant characteristics were associated with reporting dates closer to joint dyad responses [e.g., for first sex date, female gender (54.7%), having fewer sex partners (58.5%), and greater relationship commitment (57.3%)]. However, percent agreement to within 30, 60, and 90 days was similar for all groups for both first and last sex dates. Agreement was high on date of last sex but only moderate on date of first sex. Methods to increase accuracy of reporting of dates of sex may improve STI research.